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Contact Information

JACOB STUDIOSO, LCSW
84 AVON GENESEO RD STE B
GENESEO, NY14454
 Phone: 585-628-4200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for JACOB STUDIOSO · (Male)

NPI Number 1457860025
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 09/26/2017
Last updated 03/10/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 090619
  • NY License # 101152
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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